We have other current jobs related to this field that you can find below
-
Revenue Integrity Specialist
3 weeks ago
Providence, United States Care New England Health System Full timeResponsible for complete and accurate charge capture through review of medical record documentation of clinical services and procedures to ensure data integrity. Performs charge reconciliation activity to ensure optimal charge capture in accordance with Medicare, Medicaid or Third Party payor guidelines. Classification systems include ICD-9-CM, CPT, HCPCS as...
-
Revenue Integrity Specialist
3 months ago
Providence, United States Care New England Health System Full timeResponsible for complete and accurate charge capture through review of medical record documentation of clinical services and procedures to ensure data integrity. Performs charge reconciliation activity to ensure optimal charge capture in accordance with Medicare, Medicaid or Third Party payor guidelines. Classification systems include ICD-9-CM, CPT, HCPCS as...
-
Revenue Cycle Analyst
3 weeks ago
Providence, United States Accuity Full timeJob Type: Full-time Description: The Revenue Cycle Analyst performs daily chart completion tasks including review in the client EHR systems for Accuity provider clarification responses and daily reconciliation of Accuity client base DNFB. The Revenue Cycle Analyst will be responsible for managing requests and working with end users (Coders, Clinical...
-
Initial Assistance Representative
2 weeks ago
Providence, United States Internal Revenue Service Full timeDuties WHAT IS THE WAGE AND INVESTMENT (W&I) DIVISION? Vacancies will be filled in the following specialty areas: Wage and Investment Customer Assistance, Relationship and Education - Field Assistance - Area 1 The following are the duties of this position at the full working level: Provides specialized clerical assistance to Tax Resolution Representatives...
-
Tax Compliance Specialist
6 days ago
Providence, Rhode Island, United States Federal Emergency Management Agency Full timeDutiesOverview of Divisions:The Appeals (AP), Large Business and International (LB&I), Small Business Self-Employed (SB/SE), and Tax Exempt and Government Entities (TE/GE) divisions play critical roles in the tax compliance landscape.Position Responsibilities:As a Tax Compliance Specialist, you will be responsible for preparing audit statements, including...
-
Forensic Risk Control Specialist I
6 days ago
Providence, Rhode Island, United States Travelers Insurance Full timeCompany Overview:Travelers Insurance is dedicated to protecting our clients, communities, and employees. Our commitment has established us as a leading property casualty insurer for over 160 years.Position Overview:As a Forensic Risk Control Specialist I, you will operate under general supervision to support Claim business partners by providing essential...
-
Forensic Risk Control Specialist I
5 days ago
Providence, Rhode Island, United States Travelers Insurance Full timePosition Overview:As a Forensic Risk Control Specialist I at Travelers Insurance, you will play a crucial role in safeguarding our clients and communities through expert analysis and investigation.Key Responsibilities:Under general supervision, you will provide essential scientific and engineering insights to our Claim business partners, enabling informed...
-
Behavioral Health Specialist I
3 days ago
East Providence, United States Lifespan Full time*Behavioral Health Specialist I*Bradley Hospital, a Lifespan AffiliateEast Providence, RI*Bradley Hospital is hiring Behavioral Health Specialists for our Adolescent Inpatient Unit! **PRIMARY PURPOSE AND REPONSIBILITIES: **Reports to: Clinical Nurse Manager/Program Director*· *Maintain a safe and therapeutic environment, actively engage with children...
-
Client Services Representative I
6 days ago
Providence, Rhode Island, United States US Tech Solutions Full timeJob Title: Client Services Specialist ILocation: Fully remoteJob Overview:The Client Services Specialist I is responsible for managing inbound communications from healthcare providers, pharmacies, and members, delivering professional and courteous assistance throughout the prior authorization process.This role requires meticulous documentation of all...
-
Business Development Specialist
2 days ago
Providence, United States Clean Harbors Full timeJob SummaryWe are seeking a highly motivated Business Development Specialist to join our team at Clean Harbors. As a key member of our sales team, you will be responsible for driving revenue growth and expanding our customer base in the environmental services industry.Key ResponsibilitiesDevelop and implement business development strategies to grow revenue...
-
Business Development Specialist
2 hours ago
Providence, United States Clean Harbors Full timeJob SummaryWe are seeking a highly motivated Business Development Specialist to join our team at Clean Harbors. As a key member of our sales team, you will be responsible for driving revenue growth and expanding our customer base in the environmental services industry.Key ResponsibilitiesDevelop and implement business development strategies to grow revenue...
-
Cerner CCL Specialist
6 days ago
Providence, Rhode Island, United States HCTec Full timePosition: Cerner CCL Specialist - Data Extraction (W-2 only, NO C2C, 1099 or 3rd party)Job Overview:We are seeking a skilled Cerner CCL Specialist to join our team. This role involves utilizing your expertise in Cerner's Custom CCL to enhance data extraction processes.Key Responsibilities:Leverage over a decade of experience in clinical CCL report...
-
Client Implementation Specialist
6 days ago
Providence, Rhode Island, United States Beacon Hill Full timePosition Overview:As a Client Implementation Specialist at Beacon Hill, you will play a pivotal role in overseeing the comprehensive setup and training of cash management products and services for both new and existing clients within our Treasury Solutions division.Key Responsibilities:- Serve as the primary liaison for clients, crafting tailored...
-
Risk Control Forensic Specialist I
3 weeks ago
Providence, United States Travelers Insurance Full timeTravelers Insurance Company Risk Control Forensic Specialist I - Providence, Rhode Island Taking care of our customers, our communities, and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture...
-
Accounts Receivable Specialist
6 days ago
Providence, Rhode Island, United States Creative Financial Staffing Full timeCompany Overview:Creative Financial Staffing collaborates with a prominent distribution firm, recognized for its extensive reach across the United States and a diverse product lineup. The organization prides itself on fostering a community-focused and employee-centric atmosphere, generating over $25 billion in annual revenue.Role Overview:We are seeking a...
-
Sales and Marketing Specialist
11 hours ago
Providence, Rhode Island, United States Family First Home Companions Long Island NY Full timeJob OverviewFamily First Home Companions is a distinguished provider of in-home caregiving services dedicated to assisting elderly individuals in maintaining their autonomy and quality of life.We are in search of a skilled Outside Sales Representative to enhance our marketing efforts and strengthen our connections within the healthcare sector. This role...
-
Medicare Authorization Support Specialist
24 hours ago
Providence, Rhode Island, United States US Tech Solutions Full timeJob Title: Client Services Specialist ILocation: Fully remoteJob Overview:The Client Services Specialist I is responsible for managing inbound communications from healthcare providers, pharmacies, and members, delivering professional and courteous assistance throughout the prior authorization process.This role requires meticulous documentation of all...
-
Business Loan Specialist
5 days ago
Providence, Rhode Island, United States Rockland Trust Full timeCommercial Lending SpecialistRockland Trust Company is in search of a skilled Commercial Lending Specialist to concentrate on small to mid-sized enterprises from our Providence location. Key responsibilities include:Creating and overseeing both secured and unsecured financing solutionsAssessing loan candidatesOffering financial guidance to clientsReviewing...
-
Audiovisual Event Specialist
8 hours ago
Providence, Rhode Island, United States Encore Full timeJob Opportunity: Audiovisual Event Specialist at EncoreDescription:Position Overview:An Audiovisual Event Specialist is tasked with the installation and management of fundamental audiovisual systems within a hospitality setting, ensuring optimal client satisfaction. This role reports to an Operations Manager, Operations Director, or Director of Event...
-
Behavioral Health Specialist I
5 days ago
East Providence, RI, United States Lifespan Full time*Behavioral Health Specialist I*Bradley Hospital, a Lifespan AffiliateEast Providence, RI*Bradley Hospital is hiring Behavioral Health Specialists for our Adolescent Inpatient Unit! **PRIMARY PURPOSE AND REPONSIBILITIES: **Reports to: Clinical Nurse Manager/Program Director*· *Maintain a safe and therapeutic environment, actively engage with children...
Revenue Specialist I
2 months ago
Overview
Now Hiring: Revenue Specialist I
Hybrid in Providence, RI
We are improving the lives we touch. We need passionate, talented people working together who share our desire to create a world-class organization that sets the standard of excellence in the treatment of speciality behavioral health and addiction disorders. Acadia Healthcare is headquartered in Franklin, TN and is a leading provider of behavioral healthcare services in the nation. Our organization values input from employees and fosters collaboration to create a team oriented service delivery system. This position is located at our administrative office in Providence, Rhode Island and offers hybrid flexiblity.
Our Benefits:
* Medical, dental, and vision insurance
* Acadia Healthcare 401(k) plan
* Paid vacation and sick time
* Opportunity for growth that is second to none in the industry
Your Job as a Revenue Specialist:
The Revenue Specailist is responsible for daily accounts receivable collections. To assist with increasing collections, reducing accounts receivable days, and reducing bad debt. AR will be worked through Denial Management in Waystar (Clearinghouse) as well as a spreadsheet provided by the Revenue Cycle Manager or Regional Business Office Director.
Your Responsibilities as a Revenue Specialist:
* Call and status outstanding claims with third party payors.
* Review claims issues, make corrections as needed, and rebill. Utilize claims clearinghouse to review and correct claims and to resubmit electronically when available.
* Review explanation of benefits to ascertain that claim processed and paid correctly.
* Document account follow-up in Waystar (Clearinghouse).
* Identify trends and work with the Revenue Cycle Manager for resolution.
* Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
* Weekly reporting to RBOD an overview of the week and participate in AR meetings.
* Gather and interpret data from systems and understand appropriate course of action to take and initiate time-sensitive and strategic steps resulting in payment.
* Communicate any issue(s) identified to the Billing Specialist I assigned to the clinic(s) to ensure effective Monday billing.
Qualifications
Your Skills and Qualifications as a Revenue Specialist:
* High school diploma or equivalent; prefer some college or technical school coursework.
* 2+ years of job-related experience, preferred.
* Healthcare payor claims follow-up or accounts receivable experience.
* Healthcare background with payor appeals experience.
* Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
* Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
* Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
* Self-motivated with strong organizational skills and superior attention to detail.
* Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
